Accommodations Tax Return Form

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City of Westminster
Accommodations Tax Return
Department of Finance
Sales Tax Division
REPORT ACCOMMODATIONS TAX ONLY
A separate return is required for sales and use taxes
PERIOD:
ACCOUNT:
DUE DATE:
1.
GROSS SALES OF ACCOMMODATIONS
$________________
2.
DEDUCTIONS:
$________________
A. Sales to Government and Charitable Organizations
$________________
B. Permanent Residents
$________________
C. Other _____________________________
TOTAL DEDUCTIONS (Total Lines 2A through 2C)
$________________
3.
NET TAXABLE ACCOMMODATIONS (Line 1 less Line 2)
$________________
4.
AMOUNT OF ACCOMMODATIONS TAX (7.00% of Line 3)
$________________
5.
ADD: EXCESS TAX COLLECTED
$________________
6.
ACCOMMODATIONS TAX DUE (Total Lines 4 and 5)
$________________
7.
LATE FILING – If return is filed after due date, then add:
$________________
A. Penalty (10% of Line 6, $15 minimum)
$________________
B. Interest (1% of Line 6 per month late)
TOTAL PENALTY & INTEREST (Total Lines 7A and 7B)
$________________
8.
TOTAL DUE & PAYABLE (Total Lines 6 and 7)
$________________
Under penalties of perjury, I declare that I have examined this Accommodations Tax Return and it is true
and correct to the best of my knowledge and belief.
Taxpayer
Signature
Signature
Date
.
Printed Name
Title
Phone Number
Make check payable to City of Westminster and send with completed and signed return to:
City of Westminster
Sales Tax Division
PO Box 17107
Denver, CO 80217-7107
Phone: (303) 658-2065
Fax: (303) 706-3923

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